Tag Archives: wellbeing

Bethlem and Maudsley Hospital School Residency

In 2016, the Bethlem and Maudsley Hospital School invited our musicians to bring their creative, responsive approach to its young people, leading to our current three-year residency. The School, based at two sites in Camberwell and Beckenham, Kent, is attended by young people aged 8-18 from across London and the South East, all of whom are living with severe mental health and psychiatric conditions.

Mental health is a crucial issue for today’s young people with more than one in ten having a diagnosable condition, and more than half of adult mental health problems beginning in childhood. Presenting a broad range of conditions including anorexia and psychosis, the young people at Bethlem and Maudsley need transformational opportunities during a difficult time in their lives. Continue reading Bethlem and Maudsley Hospital School Residency

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Music, technology and wellbeing

Our wellbeing work includes long-standing projects at children’s hospitals such as Evelina London Children’s and University College London hospitals, care homes in North London, hospices in South London and with survivors of brain injuries at Headway East London. We have also entered our second year of a three-year residency (supported by Youth Music) at Bethlem and Maudsley Hospital School, making music with young people who have a broad range of mental health illnesses.

In our Music, technology and wellbeing podcast, Fiona and Zak from the City of London Sinfonia team discuss their experiences of music-making with CLS musicians in wellbeing settings, as well as the impact our projects have on participants and our musicians.

“Music-making is a shared experience.”
– Fiona Lambert, CLS Director of Participation

Sound Artist Gawain Hewitt also talks about how we’ve been using music technology in our recent projects to respond to some of our artistic programmes, such as Modern Mystics, Hero Worship and Bach and the Cosmos. Using technology alongside instruments makes music-making even more accessible, particularly for those with physical or psychological difficulties. In the current term, Gawain has been working alongside CLS musicians and participants to create pieces that respond to Bach’s compositional structures, as well as composing using numbers, sequence and patterns.

“Everyone has the right to be music-makers.”
– Gawain Hewitt, Sound Artist and Workshop Leader

Hear more from Fiona, Zak and Gawain in our Music, technology and wellbeing podcast, available for free download on SoundCloud and Apple Podcasts.

Building on our experience in care homes

Written by Natasha Krichefski, CLS Participation Projects Manager

City of London Sinfonia (CLS) has a long-standing reputation for delivering concerts in care homes, in partnership with Jewish Care, across a range of homes in North London. Building on a new relationship with the Jewish Care ‘Creative Arts’ and Betty and Asher Loftus Centre ‘Living Well’ teams, we recently worked closely together to develop an exciting new pilot for our work.

As Resident at the Betty and Asher Loftus Centre, we worked in the three care homes on the campus over a period of four days. We aimed to look at ways of developing the current format to allow a more flexible responsive approach to residents and make improvements to the residents’ sense of wellbeing, whether we met them in lounges, their rooms, corridors, or in a more formal concert setting, whilst keeping the highest quality of music at the core.

Responding to the needs of care home residents

We wanted to respond strategically to the partner’s desire for us to provide activity for the more isolated, “hard to reach” residents who either chose not to or are unable to attend our concerts and who rarely engaged in any activities in the homes. Becoming Resident on the campus enabled us to build relationships with staff and residents in a way that wasn’t previously possible with a single fleeting concert performance. We were also able to fit with Jewish Care’s commitment to the Principles of Person Centred Care, as well as reflect the principles of Participatory Arts promoted by Jewish Care’s Creative Arts team.

“Working in partnership with CLS and Caroline Welsh was a pleasure. We welcome the opportunity to work with artists and arts providers that are able to respond the needs of our residents, by working together with us to develop bespoke projects. The focus on a participatory approach showed great benefits for both our most isolated residents and the CLS musicians.”

Caroline D’Souza (Arts Development Manager, Jewish Care)

Following dementia training from Jewish Care and a music improvisation session led by animateur Caroline Welsh, the project started in earnest: we opened up the rehearsal sessions so that curious passers-by could pop in; ambient music accompanied the lunch hour in the lounges; and for the first time we visited residents in their rooms for a series of interactive moments, playing to and talking with those people who don’t currently have as much engagement with other residents or staff.

Pairs of musicians were partnered with a member of the Living Well team who could brief musicians on the needs of residents, accompany each visit and provide feedback. Drawing on their specialist skills, expertise and relationships with residents, we were able to target isolated residents and create moments of connection and engagement that wouldn’t otherwise have been possible.

We continued to deliver daily concerts, one in each home, but with an added sense of familiarity as the musicians had built relationships with several of the residents and staff and could refer to the audience by name.

Measuring the impact of our visits

Evaluation formed an important part of the collaborative process, with both organisations reflecting extensively on the best approach to measuring the impact of the project on the participants, the care home environment and our musicians. The Living Well team provided baseline synopses on each of the residents and gave written follow-up summaries after each of the visits.

The project not only allowed us to work with a larger number of residents on this occasion, but we were also able to make a major change to the range of activity offered through the partnership and achieve a much deeper sense of engagement. Over the course of the four days, the Living Well team saw great change in mood and a new openness to interaction and connection from some of the residents.

For example, a team member described one of the residents before the activity as someone who didn’t like socialising, but on the final day of the project, the team member explained: “I felt she didn’t want the interaction to stop today, whereas in general she shows a preference to short interactions unless she really knows the person well and trusts them.”

Another resident was initially described as having “low mood and withdrawn”, but after the first day of visits, the musicians and resident were “smiling and laughing together at the end of the session and he asked when they were coming again”.

Having worked more closely with the Creative Arts and Living Well teams and having started to develop a new practice in this context, we are very much looking forward to working together again and using our learning to inform future projects.

Many thanks to Dunhill Medical Trust and Rayne Trust for generously supporting this project.


Find out more about our participation work in care homes on YouTube.

The Inclusive Orchestra: relaxed performances

Written by Zak Hulstrom, CLS Development Manager

CLS prides itself on having a ‘seriously informal’ approach, which means we play high-quality music, but we think people should have the freedom to enjoy the concert as they please: grab a drink, use their phones, cough, or clap between movements. Our approach works and has grown in popularity. Young people (aged 16-25) made up a surprising proportion of our audience at our Modern Mystics concerts in autumn 2017 (25%).

We’re beginning to realise that this approach works well for anyone, including people living with dementia, who would enjoy having the freedom to get up, talk, clap, or enjoy a break in the quiet space outside the concert hall.

What makes a concert ‘dementia-friendly’?

I often get asked this question, and it’s not a complicated answer: it’s no different to a regular concert. When we are putting together a dementia-friendly concert, we are primarily focused on accessibility around the venue. Can audience members find the toilet, the café and the concert hall with relative ease? Is there a volunteer nearby who can answer questions?

In December 2017, we presented our first ‘dementia-friendly’ concert at St John’s Smith Square. In preparation for the performance, we sought answers from other like-minded organisations who already have experience engaging people living with dementia: The Alzheimer’s Society, Southwark Dementia Action Alliance, Dementia Friends, Shakespeare’s Globe, Royal Academy of Art and The Young Vic.

One of the important steps was having The Alzheimer’s Society audit the concert venue. They showed us all the many ways we could improve access to St John’s Smith Square, and we were delighted by the sheer number of considerations. We were “delighted” because addressing the issues meant we could be more confident about promoting this concert as dementia-friendly. For example, some of the issues they discovered were dark patches on the floor, which, to some people, can appear as holes in the ground or wet patches. Likewise, colours on signs, the chairs and tables must be carefully selected so that the contrast is highest and objects can be differentiated more easily. Signs must also be clear in content and within line of sight as you navigate the venue.

Our team in the office and many of our musicians are trained as Dementia Friends. We’ve participated in a taster course to better understand the many kinds of dementias and how they can affect people in different ways. From losing memory, which is what most people associate with dementia, to visuo-spatial difficulties and emotional changes, there is no such thing as one dementia. We can’t recommend it highly enough to become a Dementia Friend, so that you can learn small ways to help other people.

How are we putting our learning into practice?

Our concerts should be as welcoming as possible. Our first dementia-friendly concert could have been better, as it was held in December, on a dark, windy and rainy evening. We have already considered some solutions, and so our next round of relaxed concerts will be held in CLS Minis in April 2018 – in a much warmer month, and during the day.

Performance dates:

All seating is unreserved. Tickets are just £5 at the CLS Box Office (online or by phone, 020 7621 2800) and the Albany Box Office (17 April only). Standard tickets are £10, and we offer a free companion seat for wheelchair users and people with limited mobility. Tickets will also be available on the door (subject to availability).

You can read more about our Relaxed Lunchtime Performances on Facebook and Twitter, or by visiting our website.


Following our first dementia-friendly concert in December 2017, Zak was given the opportunity to speak more about this and represent CLS at a British Council conference in South Korea. You can read more about his time there in our The Inclusive Orchestra: CLS visits South Korea blog post.

Zak on dementia-friendly concerts

Music and mindfulness in a busy world

In today’s world, we need time to stop and focus. We need time that doesn’t involve being bombarded with the deafening noise of work and noise pollution; to have a break from social media and other things that are supposed to make our lives better, but quite often make our minds overly busy and stressed and tired.

In our Music and Mindfulness concerts, CLS violinist and mindfulness practitioner Ann Lovatt (referred to as Ann Morfee elsewhere) and the musicians of City of London Sinfonia are there to give you a “magic hour” of peace and calm.

Previously, audience members at Modern Mystics: The Fruit of Silence experienced a mindful meditation with Ann before listening to the beautiful music of Arvo Pärt and Peteris Vasks performed in Southwark Cathedral. We also took Music and Mindfulness to a place of work, to help city workers start their day with positive and focused minds.

Ann Lovatt
CLS violinist Ann Lovatt in a King of Ghosts recording session (c) Pete le May.

How do live music and mindfulness work together?

Mindfulness is a practice that encourages you to step out of autopilot. It allows you to reconnect with your body and your breath; to become more aware of stresses and to enable you to step back from stress and its causes. Meditation is a proven method of reducing stress, and music is also proven to have therapeutic effects, as well as the power to excite, to calm and to the reach the myriad of emotions in between.

When preparing for a mindful music session, Ann looks in depth at the music – for example, the structure, context and how the instruments might be used. In each session, she hopes to highlight aspects of the music which allow some insight or reflection appropriate to the practice of meditation. Throughout the mindfulness session, Ann bears all the musical factors in mind and references the chosen piece of music before it is performed live by CLS musicians.

The inclusion of a short mindful meditation within a live performance aims to enhance the listeners’ experiences of the music being performed, bringing an immediate sense of wellbeing to complement that which comes through the music alone.

Where can I experience Music and Mindfulness?

In April 2018, our strings, brass and woodwind sections will take it in turns to perform lunchtime and evening miniatures at various venues in our CLS Minis series. These include three Music and Mindfulness concerts in Deptford, Mile End and Marble Arch.

Performance dates:

All seating is unreserved. Tickets start from £5 (for students and 16-25s with the CLS 5IVER ticket scheme) at the CLS Box Office and the Albany Box Office (17 April only). Standard tickets are £10, and we offer a free companion seat for wheelchair users and people with limited mobility. Tickets will also be available on the door (subject to availability).

Listen to the CLS podcast

Want to know more before you try it out? Ann Lovatt talks more about the benefits of music and mindfulness in our Spring Season podcast: available for download on Apple Podcasts and SoundCloud.

Your guide to CLS Minis

Lots of good things come in mini packages: cars, ice creams, iPads (to name a few). CLS Minis is our version in orchestral music, featuring six short chamber concerts with programmes focusing of different sections of the Orchestra: strings, brass and percussion, and woodwind.

The series of miniatures focuses on mental health and wellbeing and features three programmes curated and performed by CLS musicians. For each programme, there will be a relaxed performance during the day (1.30-2.15pm) and an evening performance with an additional mindful meditation (7-8pm).

Relaxed Lunchtime Performances

The Relaxed Lunchtime Performances are for everyone and aim to provide comfortable environments for people who are perhaps living with dementia, their carers or another invisible disability associated with age. These 45-minute concerts are great opportunities for those who may not be able to attend evening concerts to visit some great venues and watch some fantastic live music in the middle of the day. In these performances, there is no judgement; you can come and go if you need to do so, and you can be confident that the performers are aware of people with those conditions attending the concerts. It is a wonderful way for people to enjoy music that they perhaps loved when they were younger, but don’t get the opportunity to now.

Performance dates:

All seating is unreserved. Tickets are just £5 at the CLS Box Office (online or by phone, 020 7621 2800) and the Albany Box Office (17 April only), and we offer a free companion seat for wheelchair users and people with limited mobility. Tickets will also be available on the door (subject to availability).

Music and Mindfulness

In the early evening, our orchestra sections will perform the same programme as they did earlier in the day but with an added dimension: with a mindfulness meditation integrated into the concert. During the mindful music sessions, CLS violinist Ann Lovatt (referred to as Ann Morfee elsewhere) gives audience members something to focus on, or to watch or listen out for in the performance of the music. Experiencing live music alongside a meditation is so powerful and helps bring an immediate sense of calm and wellbeing at the end of a working day. It enables you to tune out of the outside world and just listen to the music; to just be in the moment.

Performance dates:

All seating is unreserved. Tickets start from £5 (for students and 16-25s with the CLS 5IVER ticket scheme) at the CLS Box Office and the Albany Box Office (17 April only). Standard tickets are £10, and we offer a free companion seat for wheelchair users and people with limited mobility. Tickets will also be available on the door (subject to availability).

Listen to the CLS podcast

Find out more about our CLS Minis series with CEO Matthew Swann and Ann Lovatt on our podcast: available for download on Apple Podcasts and SoundCloud.

L’Chaim: Living Music

This August, we set off on another of our successful L’Chaim tours around care homes in North London, offering concerts for Jewish residential homes in partnership with Jewish Care.

The houses were originally set up to provide sheltered housing for elderly Jewish Holocaust survivors or refugees. Each home has a shared space where residents come together to socialise and our concerts help to bring people together in these spaces, helping to reduce feelings of isolation and loneliness amongst the older people.

A string quartet from CLS visited seven different homes, playing a specially programmed concert of classical favourites, lighter popular songs and arrangements of Jewish melodies. The audiences varied in size but staff told us that many residents hear and appreciate the music from their own rooms – some of the audience were so enthusiastic that they couldn’t resist the urge to get up and dance to some of the Klezmer tunes.

We were also lucky enough to hear thoughts and stories from residents in a few of the homes over a cup of tea and cake – it was a privilege to get to know the residents and we’re looking forward to our next tour in November.

Want to know more about our L’Chaim projects? Watch our L’Chaim, Living Music video.


With older people, Holocaust survivors and those who are facing bereavement, our music-making helps to keep memories alive and minds active. Learn more about our Wellbeing through Music projects…

Matthew Swann: Music at the Heart of Health

News that the Arts Council of Wales is part of a growing recognition that the arts can play a significant role in healthcare and general wellbeing is welcome.

At CLS we’ve known this for a long time, and music-making in hospitals, hospices and care homes is something that we feel is central to how we benefit society and transform the lives of individuals.

That music can help people – emotionally, physically, mentally – and alleviate suffering, provide invaluable creative and emotional outlets will seem to some reading this blog as a statement of the obvious. To others it will sound like a rather grand and fluffy statement. Compared to ‘hard science’ clinical practice, our musicians making music with people in healthcare sounds like an expensive ‘nice to have’. Sure, it will benefit people but shouldn’t be the business of strained NHS and government budgets – leave it to generous philanthropists.

We’re very lucky to have many such philanthropists as supporters of CLS, and without entering into a discussion about the relative merits of private versus public funding, they will always be a hugely valued part of how we ensure our music making can reach as many people as possible.

Many people are convinced, as we are at CLS, that music has a far greater impact on individuals in healthcare than it simply being a ‘nice to have’. There is a growing body of evidence to suggest that there are a real, tangible, quantifiable benefits to using music to benefit people at all stages of life in healthcare. A lot of the evidence surrounds issues associated with old age, not least dementia (although dementia is not an issue which only affects older people), or singing as a benefit to mental and physical wellbeing.

At CLS we have seen the benefits that music making can have on older people in residential care, those dealing with grief and loss, and particularly with young children suffering from severe and life limiting conditions. Recently we have begun to work with young people in hospital schools with severe psychiatric conditions. Our musicians at CLS are incredibly experienced and skilled at making music in these often emotionally challenging environments, and have any number of anecdotes from first-hand experience of how people benefit.

The issue we have, highlighted by the Arts Council of Wales, is convincing all the stakeholders involved – government, clinicians, funders – of the clear and tangible benefits that these projects have. To do that we need robust, empirical evidence, not only that music is an essential part of healthcare, but that the benefits are magnified when delivered through the unique skills, experience and outstanding artistry that professional musicians bring.

One of our priorities over the next few years is developing initial conversations with leading research institutions into far reaching research programmes developing the proof that music making is vital to healthcare. I am convinced that it is not a ‘nice to have’ to be funded only by enlightened philanthropists – as a society we should recognise the incredible benefits that music brings to people, alongside more traditional, clinical practices.

There are risks associated with this approach: it’s likely that not everything we do will deliver the benefits that simple observational evaluation suggests. But I, and our musicians, are convinced that music can make a vital difference to the lives of people in all areas of healthcare – let’s provide the proof.

Matthew Swann Chief Executive

 

Catch up with Meet the Music

Flashback: Meet the Music
Making a racket at one of our Lullaby workshops

It’s been an extremely hectic time for our Education team and musicians over the last couple of months, with numerous Meet the Music activities taking place. Here’s a flavour of what’s been going on…

Last weekend saw the success of another much-loved Crash Bang Wallop! concert at Cadogan Hall and while the leitmotifs of Stephen McNeff’s Squirrel Nutkin still  rattle around our heads, we are already looking ahead to the turn of Little Red Riding Hood when we return on the 11th May. In the mean time, however, our Meet the Music education team’s schedules are far from quiet…

First Time Live participants from the last project in Luton
First Time Live participants from the last project in Luton

This week sees our musicians partake in their final workshop for First Time Live at Harlow, which will culminate in the production of a concert on 21st March, completely engineered by Harlow’s finest, budding orchestra managers and composers! Under the expert guidance of our presenter, John K. Miles, and principal conductor, Michael Collins, our role in this project enables a group of brave young teenagers, who live in areas lying in the bottom 20% for levels of arts engagement, an opportunity to access, and be a part of, a live orchestral concert experience.

Turning our attention to a slightly younger audience, our Lullaby programme will this week be making a final visit to Clacton-on -Sea. Thanks to generous funding from Barnardo’s, we are able to take a quintet of musicians into three nurseries in Jaywick this Friday, followed by two interactive family concerts on Saturday, featuring excerpts from The Nutcracker and including our very own young ballerina! Next stop will be Purfleet and Under the Sea!

CLS Quartet performs at St Joseph's Hospice
CLS Quartet performs at St Joseph’s Hospice

But we don’t just take care of the little people… as part of our Wellbeing through Music programme, we also have an upcoming visit to the residents of St Joseph’s Hospice, Hackney, next week. We are excited about developing more opportunities to work with St Joseph’s over the next few months, including a potential composition project we have in the pipeline. We will also be performing at Guy’s Hospital on the 24th April (a lunchtime concert open to the public) and our players continue their  weekly visits to the children and families of Great Ormond Street Hospital and Evelina Children’s Hospital, bringing music as respite to those who need it the most.

Find out more about our Meet the Music Programme.